ATI RN Concept-Based Assessment
Level 2 Elaborate Study Question
with Detailed Answers | Already
Graded A+
1. A nurse is providing discharge teaching to an older adult client who had
surgery to treat visual impairment due to cataracts. Which of the following
client statements indicates an understanding of the teaching?
A: "I will keep an eye patch in place for the first 3 days after surgery."
B: "It is okay for me to lift my 2-year-old granddaughter."
C: "I will be able run the vacuum cleaner in a day or two."
D: "It might take 4 to 6 weeks for my vision to fully improve." - ANSWER D:
"It might take 4 to 6 weeks for my vision to fully improve."
2. A nurse is providing teaching to a client who has chronic obstructive
pulmonary disease (COPD). Which of the following statements should
indicate to the nurse that the client understands the teaching?
A: "I should drink 1.5 liters of water daily to keep hydrated."
B: "I should make my abdomen rise with each inhalation."
C: "I should inhale through my mouth and exhale through my nose."
D: "I should limit walks to 10 minutes daily in order to conserve my energy." -
ANSWER B: "I should make my abdomen rise with each inhalation."
3. A nurse is reviewing the medical record of a client who is receiving total
parenteral nutrition. Which of the following actions should the nurse take?
, (Click on the exhibit button for additional information about the client.
There are three tabs that contain separate categories of data.)
A: Stop the client's infusion immediately.
B: Notify the provider about the client's blood pressure.
C: Clarify the dose of acetaminophen with the provider.
D: Administer the prescribed regular insulin - ANSWER D: Administer the
prescribed regular insulin
4. A nurse in an emergency department is assessing a client who has
hyperthermia. Which of the following findings should the nurse identify as
an indication that the client has heat exhaustion?
A: Hallucinations
B: Vomiting
C: Bradycardia
D: Seizures - ANSWER B: Vomiting
5. A nurse is developing an in-service for a group of coworkers about
adolescents' reactions to death. Which of the following information should
the nurse include when discussion an adolescent's response to death?
A: Adolescents cope with death better than children of other ages.
B: Adolescents view funeral services as an opportunity for closure.
C: Adolescents are more concerned with the past than the present or future.
D: Adolescents often alienate themselves from their peers when grieving. -
ANSWER D: Adolescents often alienate themselves from their peers when
grieving.
6. A nurse is providing teaching to a client who is experiencing malabsorption
related to lactose intolerance. Which of the following foods should the nurse
recommend to the client as the best nondairy source of calcium?
,A: Ground beef
B: Collard greens
C: Cauliflower
D: Walnuts - ANSWER B: Collard greens
7. A nurse is caring for a client who is receiving heparin therapy and has an
aPTT of 92 seconds. Which of the following medications should the nurse
anticipate the provider might prescribe for the client?
A: Leucovorin
B: Vitamin K
C: Deferoxamine
D: Protamine - ANSWER D: Protamine
8. A nurse is assessing a client who is postoperative following the placement of
an ileostomy due to complication of ulcerative colitis. In which of the
following areas should the nurse expect the ileostomy to be located? (You
will hind hot spots to select in the artwork below. Select only the hot spot
that corresponds to your answer.)
A: Right lower abdomen superior to umbilicus.
B: Left lower abdomen even with the umbilicus.
C: Right lower abdomen inferior to umbilicus. - ANSWER The nurse should
expect a client who is postoperative following the placement of an ascending
colostomy to have an ostomy located on the right side of the abdomen, lateral
to, and slightly above the umbilicus.
9. A nurse is providing teaching to the parent of an infant who has
gastroesophageal reflux about home care. Which of the following statements
by the parent indicates an understanding of the teaching?
, A: "I should feed my infant a larger amount of formula less frequently."
B: "I should feed my infant a bottle of formula within 1 hour of bedtime."
C: "I should place my infant on his side to sleep."
D: "I should add 1 teaspoon of rice cereal to my infant's formula." - ANSWER
D: "I should add 1 teaspoon of rice cereal to my infant's formula."
10.A nurse is reviewing the laboratory report of a client who is taking exenatide
to treat type 2 diabetes mellitus. The nurse should recognize that which of
the following laboratory results is an indication of an adverse reaction to the
medication?
A: HbA1c 6.8%
B: Hct 45%
C: Creatinine 0.9 mg/dL
D: Lipase 185 units/L - ANSWER D: Lipase 185 units/L
11.A nurse is assessing a client who is receiving morphine via a PCA pump to
manage postoperative pain. The client has a heart rate of 66/min and a
respiratory rate of 9/min. Which of the following medications should the
nurse anticipate the provider will prescribe for the client?
A: Naloxone
B: Flumazenil
C: Acetylcysteine
D: Glucagon - ANSWER A: Naloxone
12.A nurse is reviewing the medical record of a client who has a family history
of gallstones. Which of the following findings should the nurse identify as a
risk factor for developing cholecystitis?
A: Client is an adult male.
Level 2 Elaborate Study Question
with Detailed Answers | Already
Graded A+
1. A nurse is providing discharge teaching to an older adult client who had
surgery to treat visual impairment due to cataracts. Which of the following
client statements indicates an understanding of the teaching?
A: "I will keep an eye patch in place for the first 3 days after surgery."
B: "It is okay for me to lift my 2-year-old granddaughter."
C: "I will be able run the vacuum cleaner in a day or two."
D: "It might take 4 to 6 weeks for my vision to fully improve." - ANSWER D:
"It might take 4 to 6 weeks for my vision to fully improve."
2. A nurse is providing teaching to a client who has chronic obstructive
pulmonary disease (COPD). Which of the following statements should
indicate to the nurse that the client understands the teaching?
A: "I should drink 1.5 liters of water daily to keep hydrated."
B: "I should make my abdomen rise with each inhalation."
C: "I should inhale through my mouth and exhale through my nose."
D: "I should limit walks to 10 minutes daily in order to conserve my energy." -
ANSWER B: "I should make my abdomen rise with each inhalation."
3. A nurse is reviewing the medical record of a client who is receiving total
parenteral nutrition. Which of the following actions should the nurse take?
, (Click on the exhibit button for additional information about the client.
There are three tabs that contain separate categories of data.)
A: Stop the client's infusion immediately.
B: Notify the provider about the client's blood pressure.
C: Clarify the dose of acetaminophen with the provider.
D: Administer the prescribed regular insulin - ANSWER D: Administer the
prescribed regular insulin
4. A nurse in an emergency department is assessing a client who has
hyperthermia. Which of the following findings should the nurse identify as
an indication that the client has heat exhaustion?
A: Hallucinations
B: Vomiting
C: Bradycardia
D: Seizures - ANSWER B: Vomiting
5. A nurse is developing an in-service for a group of coworkers about
adolescents' reactions to death. Which of the following information should
the nurse include when discussion an adolescent's response to death?
A: Adolescents cope with death better than children of other ages.
B: Adolescents view funeral services as an opportunity for closure.
C: Adolescents are more concerned with the past than the present or future.
D: Adolescents often alienate themselves from their peers when grieving. -
ANSWER D: Adolescents often alienate themselves from their peers when
grieving.
6. A nurse is providing teaching to a client who is experiencing malabsorption
related to lactose intolerance. Which of the following foods should the nurse
recommend to the client as the best nondairy source of calcium?
,A: Ground beef
B: Collard greens
C: Cauliflower
D: Walnuts - ANSWER B: Collard greens
7. A nurse is caring for a client who is receiving heparin therapy and has an
aPTT of 92 seconds. Which of the following medications should the nurse
anticipate the provider might prescribe for the client?
A: Leucovorin
B: Vitamin K
C: Deferoxamine
D: Protamine - ANSWER D: Protamine
8. A nurse is assessing a client who is postoperative following the placement of
an ileostomy due to complication of ulcerative colitis. In which of the
following areas should the nurse expect the ileostomy to be located? (You
will hind hot spots to select in the artwork below. Select only the hot spot
that corresponds to your answer.)
A: Right lower abdomen superior to umbilicus.
B: Left lower abdomen even with the umbilicus.
C: Right lower abdomen inferior to umbilicus. - ANSWER The nurse should
expect a client who is postoperative following the placement of an ascending
colostomy to have an ostomy located on the right side of the abdomen, lateral
to, and slightly above the umbilicus.
9. A nurse is providing teaching to the parent of an infant who has
gastroesophageal reflux about home care. Which of the following statements
by the parent indicates an understanding of the teaching?
, A: "I should feed my infant a larger amount of formula less frequently."
B: "I should feed my infant a bottle of formula within 1 hour of bedtime."
C: "I should place my infant on his side to sleep."
D: "I should add 1 teaspoon of rice cereal to my infant's formula." - ANSWER
D: "I should add 1 teaspoon of rice cereal to my infant's formula."
10.A nurse is reviewing the laboratory report of a client who is taking exenatide
to treat type 2 diabetes mellitus. The nurse should recognize that which of
the following laboratory results is an indication of an adverse reaction to the
medication?
A: HbA1c 6.8%
B: Hct 45%
C: Creatinine 0.9 mg/dL
D: Lipase 185 units/L - ANSWER D: Lipase 185 units/L
11.A nurse is assessing a client who is receiving morphine via a PCA pump to
manage postoperative pain. The client has a heart rate of 66/min and a
respiratory rate of 9/min. Which of the following medications should the
nurse anticipate the provider will prescribe for the client?
A: Naloxone
B: Flumazenil
C: Acetylcysteine
D: Glucagon - ANSWER A: Naloxone
12.A nurse is reviewing the medical record of a client who has a family history
of gallstones. Which of the following findings should the nurse identify as a
risk factor for developing cholecystitis?
A: Client is an adult male.
